Dealing with the Prejudiced (long post:sorry)...

Nurses General Nursing

Published

The analogy of the prejudiced patient that was brought up in the VIP suite thread has kept sticking in the back of my mind. I hope that raising this question does not offend anyone (ready for flames just in case...)

In the course of my experience and in the area where I live, sometimes we encounter prejudiced and intolerant patients and/or family members. Unfortunately, bigoted jerks can become sick bigoted jerks and find themselves in our hospitals, and the illness may well bring out the worst in their personalities.

Generally, if the patient or family does not way to have "one of those (insert racial, religious, gender-related or sexual preference expletive here) taking care of" him/her, we've usually respected their wishes. This is NOT because of any approval or support of their prejudice itself, but becasue we have no wish to expose our peers to their unreasonable behavior. Nursing is hard enough without having to face doubt, suspicion and outright abuse through no fault of our own.

In ideal circumstances, this isn't an issue. However, sometimes staffing, patient condition or caregiver skill make such assignments difficult. In that case, is the optimal healthcare professional assigned to the prejudiced person in spite of having whatever characteristic that person finds detestible? Of course, this "optimal" assignment isn't optimal in view of the patient/family prejudice, so maybe the prejudice should be considered above the skill level of the caregiver, etc. etc. You see how you can think yourself into a corner on this one. :confused:

Please share your thought and feelings on this, especially if you've experienced it directly. Perhaps you can help provide insight into the "right" thing to do in these circumstances. Thanks! Nursemouse :kiss

Originally posted by Asiancutie

when i get 80, i think i would be prejudiced too. only cute nurses are allowed to take care of me hehehe.......... :D

:roll

Our job is to take care of sick people warts, flaws and all. I'm not there to enforce the latest PC mindset and inflict my mores on my patients. It likely won't do any good anyway.

With today's customer satisfaction trend we will not be supported by administrators if patients complain...so why set ourselves up? I agree with 3rd shift guy....nurses can get fired over fabricated complaints and stories too, unfortunately. :

Now I won't let ugly or blatant bigoted remarks go unnoticed in a lucid patient, and will defend my staff...but when there is a demand to change nurses (for WHATEVER reason) I generally will do so if possible. Unless we can easily mediate it, and the nurse prefers to stay on the case.

Some may flame me here but that's OK...I can take it..hehe. I've had black patients request black nurses and hispanics request hispanic nurses...and this seems generally regarded as cultural/comfort issues and OK.

When a white patient requests a white nurse it tends to immediately be construed as racist...when comfort level and culture may play some role as well. I think we should try to keep an open mind and avoid judging sick and vulnerable patients too harshly. I know its hard sometimes.

I agree to take the nurse out of the situation just from the lawsuit aspect if at all possible. I sure wouldn't want a colleague taken thru that horror for some trumped up charge.( But I am tired of dealing with that issue and always being worried about legalities.)

I moved to the er in part because of crap like that. When your not breathing and your heart is stopped noone cares about race, sex, nationality, or religion. I did remove my self from a case when I worked med-surg though. I have a deep and painful experience with a certain religion and I wasn't absolutely sure I could give non-biased and excellant care to tha person, so I asked to take a different patient. I ended up taking two extra patients because of the way the rooms are set-up but that was fine by me. Religion doesn't usually come up in the ED and if it does in a non emergent setting I would remove myself again. I would be afraid that I would be distracted and just don't trust myself. We take care of each other here. Another nurse remves herself from lil old men with terminal CA. Her Dad died a year ago and it is just too painful. The objectivity level goes down when distracted with personal issues. In most cases it never comes up for me and isn't ever and issue but I always want to give the best care possible and maybe sometimes it can't be from me.

I once had a patient come out of ECT into a room full of Vietnamese nurses that didn't end too well. Course he was ex-SAS in Vietnam, little bit more thought could have happened there methinks.:o .As to the other stuff, well, the mind becomes boggled. To refuse care because you don't like the colour of nurses skin seems to me to be just a little......hmm, to say this nicely.......stupid? dumb? idiotic? mind power of a newt?

( the kids are away and I'm just a wee bit under the weather, my powers of verbage are limited...can ya tell??):D

Specializes in CVICU/SICU/CCU/HH/ADMIN.

We had a guy in CVICU once who was a member of the KKK and openly admitted it. The surgeons close the patients' chests and bring them straight to us, so we do all the recovery, etc. His family had told me he would only want white nurses but didn't tell me why. (I've been approached several times--usually be family members--that a patient would only want a particular color of nurse, but I always tell them we don't have many CV nurses and all of them are very well trained.) The only CV nurse scheduled that night was black, and I told her what the family had said so she would be at least aware. After she extubated him, he told her he was a member of the KKK, but when he started waking up he thought he'd died and was in heaven--and was scared to have been wrong all these years cause the angels were all black. :chuckle We laughed about it for a long time, but he was very nice to her all night and never complained about her at all. Don't know if it helped change his attitude or not...hope so.

+ Add a Comment